Suchergebnisse

Abstract
Background
Rectifying historic race-based health inequities depends on a resilient public health workforce to implement change and dismantle systemic racism in varied organizations and community contexts. Yet, public health equity workers may be vulnerable to job burnout because personal investment in the continual struggle against inequality exacts an emotional toll. Our study sought to quantify the presence of emotional labor in public health equity work and better understand its dimensions.

Methods
We conducted a mixed methods study of public health equity workers focused on maternal and child health in the USA. Participants completed a survey on the emotional demands of their public health equity work. A subset of survey respondents was interviewed to gain a better understanding of the emotional toll and support received to cope.

Results
Public health equity work was found to involve high levels of emotional labor (M = 5.61, range = 1–7). A positive association was noted between personal efficacy (i.e., belief in one's ability to do equity work well) and increased job satisfaction. However, burnout increased when equity workers did not receive adequate support for their emotional labor. Qualitative analysis revealed eight themes depicting the emotional burden, benefits and drawbacks, and coping strategies of public health equity work.

Conclusions
Public health equity workers report high degrees of emotional labor and inadequate workplace support to cope with the demands. In our study, workplace support was associated with higher job satisfaction and lower burnout. Research is urgently needed to develop and scale an effective model to support public health equity workers.

This study had two aims: (a) to assess, among households in the United States, the association between spending money on cigarettes and participation in charitable giving, and between spending money on cigarettes and amount spent on charitable giving, and (b) to assess whether the association between smoking and charitable giving is mediated by religiosity, social capital, cognitive aptitude, and happiness. To address these aims, we used data from Consumer Expenditure Interview Survey and Midlife in the United States Survey. The analyses revealed that households that spend money on cigarettes are less likely to participate in charitable giving. Furthermore, among households who do give to charity, smoking households give a lesser amount than others do. Religiosity, social capital, cognitive aptitude, and happiness do not appear to mediate the relationship between smoking and charitable giving.